Child/Participant Name (required)

Date of Birth (required)

Sibling/Additional Child Name (if applicable)

Date of birth

Parent/Guardian Name (required)

Mailing Address (required)

Name of person(s) attending Story Hour with Participant (if not parent/legal guardian)

Your Email (required)

Phone Number (required)

REFUNDS: We reserve the right to cancel a session due to low enrollment. In this case, a full refund would be given. Refunds, however, are not given for sick or absent days.
WEATHER: In the event of rain, we have an indoor space we will use for the story. Please wear rain gear for when we go visit the featured animal.
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COVID-19 WAIVER: By checking this box, I acknowledge that Dalby Farm has put in place preventative measures outlined by CDC, state & local officials, intended to reduce the spread of the Coronavirus/COVID-19. I acknowledge that Dalby Farm cannot guarantee that the participant will not become infected with the Coronavirus/COVID-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, other participants and their families. On behalf of myself and other releasers, I hereby agree to indemnity, defend, and hold harmless the releases from and against any and all losses from any damage, loss, injury (physical or mental), medical condition or death which may arise out of, relating to or in connection with any purported exposure to, infection with or transmission to a third party of, Coronavirus/COVID-19. 
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